DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOYS CLUBS OF GREATER KANSAS CITY

001897461

(816) 461-1422

315 S LESLIE ST
INDEPENDENCE
MO  64050-4030

BOYS CLUBS OF GREATER KANSAS CITY

4001 BLUE PKWY STE 102
KANSAS CITY
MO  64130-2350

ROWLES, PATRICK C

PROWLES@HELPKCKIDS.ORG

Incorporated

BEN NEWTON

5 YEARS - 12 YEARS

155

GROUP HOME AND CENTER

 
Inspection Information

11/22/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2412962377


DocumentDocument-Date
CERTIFICATE OF GOOD STANDING 07/22/2015
DIRECTOR'S QUALIFICATIONS 11/24/2014
DIAGRAM/INDOOR 04/04/2013
DIAGRAM/OUTDOOR 04/04/2013
CHILD CARE PRACTICES 07/22/2013
DISCIPLINE POLICIES 07/22/2013
DAILY SCHEDULE 07/22/2013
POLICIES 07/22/2013
SAMPLE WEEKLY MENU 04/04/2013
LINES OF ADMINISTRATIVE AUTHORITY 07/22/2013
JOB RESPONSIBILITIES 12/06/2012
LOCAL ZONING APPROVAL 10/16/2013
LOCAL BUILDING APPROVAL 10/16/2013
REGISTERING FICTITIOUS NAMES 07/27/2015
SAMPLE FORMS 04/04/2013
APPLICATION 08/07/2019
EQUIPMENT LIST 10/15/2021
STAFF SHEET 10/01/2021
FIRE/SAFETY INSPECTION 08/10/2021
SANITATION INSPECTION 06/08/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/01/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Anya Stone.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
11/16/2021
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
Child C, Child D, Child K, Child AA child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
11/16/2021
Violation
Child C, Child D, Child K, Child AA child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
11/16/2021
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance